See the Savings

This is the same DenteMax Discount Plan as seen on other sites but for less + three free additional months when you join online today!   Use this page to view plan savings, lookup sample savings in your zip code, and even request additional information on specific procedures.   So how much do I save and how does this plan work?   Simply bring your DentaCard with you to any participating dentist.  Instead of paying the dentists usual fee (red) you pay a discounted fee (yellow)*!  These discounted fees are 20-50% off what the dentist would normally charge!  Don't waste money with traditional plans that have long waiting periods and expensive monthly premiums.  With DentaCard you can use the plan right away!     Plan is active the same day you sign up! *Fees will vary by region, always confirm with your dentist prior to treatment.   Savings Highlights: Pay less for dental services: Save 20% to 50% on procedures like exams, cleanings, dentures, root canals & crowns Peace of mind: Use the plan immediately! No waiting or delays. One of the largest dental provider networks in the nation 100% satisfaction guarantee

Sample Savings* Save on nearly every procedure this is just a small sample below! Fees shown for 44124, scroll down to see your area. Procedure Usual Fee*/ National Average Discounted Fee*/ Member Price Savings cleaning $83 $47 $36 x-rays (all four  bitewing) $55 $32 $23 exam $43 $24 $19 filling (amalgam 1 surface) $135 $62 $73 root canal front tooth $636 $378 $258 root canal molar $919 $588 $331 crown $912 $578 $334 denture $1,353 $714 $639 extraction $138 $71 $67 *Fees are for visits to a general dentist, prices may vary by region, provider, and specialty. Usual fee is based on a survey of dental offices and other published fees.  Members should confirm fees and provider participation prior to visiting the dentist. For complete listings please contact us with the ADA code.  Look up sample savings for your region below or contacts us with the desired procedure for fees in your area!  Join today! Use this page to find: Sample fees, a zip code tool to find fees in your region, a contact form to request specific fees, and even a complete fee schedule on the bottom of the page.

Don't see a fee your looking for?

Use the contact form below and we will research it and email it to you promptly or enter your zip code below!  Please note, some dentists are on what's known as a fee schedule exception and may not abide by the fees below, please confirm fees with the dental office prior to treatment.  Our goal is to help Americans save on their dental visits by providing as much information as possible.  Please contact us with any questions.   -DentaCard Membership Team

 

Be sure to include your state, zip code, procedure code (or just the procedure) and whether this is with a general dentist or the type of specialist (oral surgeon, orthodontist, periodontist, etc.).   Including a dentists name will help to make your information even more accurate.

 

COMPLETE FEE SCHEDULE AND PRICE 44124

D0120 PERIODIC ORAL EVAL 24
D0140 LTD ORAL EVAL-PROBLEM FOCUSED 35
D0145 ORDER EVALUATION - PATIENT UNDER 3 YRS OLD & COUNSELING W/PRIMARY CAREGIVER 27
D0150 COMP ORAL EVAL 37
D0160 DETAILED & EXTEN ORAL EVAL-PROBLEM FOCUSED BR 112
D0170 RE-EVAL-LTD PROB FOCUSED (ESTAB PT-NOT POSTOP) 28
D0180 COMPREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT 43
D0210 INTRAORAL-COMPLT SERIES (INCL BITEWINGS) 70
D0220 INTRAORAL-PERIAPICAL FIRST FILM 14
D0230 INTRAORAL-PERIAPICAL EA ADD FILM 9
D0240 INTRAORAL-OCCLUSAL FILM 21
D0250 EXTRAORAL-FIRST FILM 27
D0260 EXTRAORAL-EA ADD FILM 26
D0270 BITEWING-SNGL FILM 15
D0272 BITEWINGS-2 FILMS 22
D0273 BITEWINGS - THREE FILMS 27
D0274 BITEWINGS-4 FILMS 32
D0277 VERTICAL BITEWINGS-7-8 FILMS 49
D0290 PA/LAT SKULL & FACIAL BONE SURVEY FILM 97
D0330 PANORAMIC FILM 63
D0340 CEPHALOMETRIC FILM 78
D0350 ORAL/FACIAL IMAGES (INCL INTRA & EXTRAORAL) 34
D0460 PULP VITALITY TESTS 25
D0470 DIAGNOSTIC CASTS 53
D1110 PROPHYLAXIS-ADULT 47
D1120 PROPHYLAXIS-CHILD 33
D1203 TOPICAL APPLIC FLUORIDE (PXS NOT INCL)-CHILD 19
D1204 TOPICAL APPLIC FLUORIDE (PXS NOT INCL)-ADULT 19
D1206 TOPICAL FLUORIDE VARNISH - THERAPEUTIC APPLICATION FOR MOD. TO HIGH CARIES RISK PATIENTS 27
D1351 SEALANT-PER TOOTH 27
D1510 SPACE MAINTAINER-FIX-UNILAT 176
D1515 SPACE MAINTAINER-FIX-BILAT 239
D1520 SPACE MAINTAINER-REMOV-UNILAT 220
D1525 SPACE MAINTAINER-REMOV-BILAT 308
D1550 RECEMENTATION SPACE MAINTAINER 39
D1555 REMOVAL OF FIXED SPACE MAINTAINER 49
D2140 AMALGAM-1 SURFACE PERM 62
D2150 AMALGAM-2 SURFACES PERM 78
D2160 AMALGAM-3 SURFACES PERM 96
D2161 AMALGAM-4/MORE SURFACES PERM 119
D2330 RESIN-BASED COMPOSITE-1 SURFACE ANT 71
D2331 RESIN-BASED COMPOSITE-2 SURFACES ANT 93
D2332 RESIN-BASED COMPOSITE-3 SURFACES ANT 112
D2335 RESIN-BASED COMPOSITE-4/MORE SURF-INCISAL ANGLE 131
D2390 RESIN-BASED COMPOSITE CROWN ANTERIOR 151
D2391 RESIN-BASED COMPOSITE - 1 SURFACE POSTERIOR 84
D2392 RESIN-BASED COMPOSITE - 2 SURFACES POSTERIOR 110
D2393 RESIN-BASED COMPOSITE - 3 SURFACES POSTERIOR 139
D2394 RESIN-BASED COMPOSITE - 4 OR MORE SURFACES POSTERIOR 171
D2510 INLAY-METALLIC-1 SURFACE 410
D2520 INLAY-METALLIC-2 SURFACES 462
D2530 INLAY-METALLIC-3/MORE SURFACES 536
D2542 ONLAY-METALLIC-2 SURFACES 525
D2543 ONLAY-METALLIC-3 SURFACES 557
D2544 ONLAY-METALLIC-4/MORE SURFACES 578
D2610 INLAY-PORCELAIN/CERAMIC-1 SURFACE 493
D2620 INLAY-PORCELAIN/CERAMIC-2 SURFACES 515
D2630 INLAY-PORCELAIN/CERAMIC-3/MORE SURFACES 555
D2642 ONLAY-PORCELAIN/CERAMIC-2 SURFACES 525
D2643 ONLAY-PORCELAIN/CERAMIC-3 SURFACES 578
D2644 ONLAY-PORCELAIN/CERAMIC-4/MORE SURFACES 609
D2650 INLAY - RESIN COMPOS COMPOSITE/RESIN - 1 SURFACE 361
D2651 INLAY - RESIN COMPOS COMPOS/RESIN - 2 SURFACES 422
D2652 INLAY - RSN COMPOS COMPOS/RSN - 3/MORE SURFACES 453
D2662 ONLAY-RESIN-BASD COMPOSITE COMPOSITE/RESN-2 SURF 352
D2663 ONLAY-RESIN-BASD COMPOSITE COMPOSITE/RESN-3 SURF 414
D2664 ONLAY-RESIN-BASD COMPOSITE COMP/RES-3/MORE SURF 444
D2710 CROWN-RESIN (LAB) 248
D2712 CROWN - 3/4 RESIN-BASED COMPOSITE (INDIRECT) 237
D2740 CROWN-PORCELAIN/CERAMIC SUBSTRATE 630
D2750 CROWN-PORCELAIN FUSED TO HI NOBLE METAL 620
D2751 CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METL 578
D2752 CROWN-PORCELAIN FUSED TO NOBLE METAL 595
D2780 CROWN-3/4 CAST HI NOBLE METAL 588
D2781 CROWN-3/4 CAST PREDOMINANTLY BASE METAL 557
D2782 CROWN-3/4 CAST NOBLE METAL 582
D2783 CROWN-3/4 PORCELAIN/CERAMIC 616
D2790 CROWN-FULL CAST HI NOBLE METAL 599
D2791 CROWN-FULL CAST PREDOMINANTLY BASE METAL 571
D2792 CROWN-FULL CAST NOBLE METAL 581
D2794 CROWN - TITANIUM 609
D2910 RECEMENT INLAY 49
D2915 RECEMENT CAST OR PREFABRICATED POST & CORE 49
D2920 RECEMENT CROWN 51
D2930 PREFAB STAINLESS STEEL CROWN-PRIM TOOTH 137
D2931 PREFAB STAINLESS STEEL CROWN-PERM TOOTH 158
D2934 PREFABR ESTHETIC STAINLESS STELL CROWN - PRIMARY 221
D2940 SEDATIVE FILLING 53
D2950 CORE BUILDUP INCL ANY PINS 132
D2951 PIN RETENTION-PER TOOTH IN ADD TO RESTORATION 28
D2952 CAST POST & CORE IN ADD TO CROWN 217
D2954 PREFAB POST & CORE IN ADD TO CROWN 171
D2960 LABIAL VENEER (RESIN LAMINATE)-CHAIRSIDE 419
D2961 LABIAL VENEER (RESIN LAMINATE)-LAB 452
D2962 LABIAL VENEER (PORCELAIN LAMINATE)-LAB 504
D2970 TEMPORARY CROWN (FX TOOTH) 110
D2971 ADDITIONAL PROCEDURE TO CONSTRUCT NEW CROWN 66
D2980 CROWN REPR BR 104
D3110 PULP CAP-DIRECT (EXCLD FINAL RESTORATION) 38
D3120 PULP CAP-INDIRECT (EXCLD FINAL RESTORATION) 29
D3220 THERAP PULPOTOMY-REMOV PULP & APPLIC MEDS 88
D3221 GROSS PULPAL DEBRID-PRIM & PERM TEETH 98
D3230 PULPAL THERAP(RESORB)-ANT PRIM TTH (EXCLD RESTR) 91
D3240 PULPAL THERAP(RESORB)-POST PRIM TTH(EXCLD RESTR) 99
D3310 ANT (EXCLD FINAL RESTORATION) (ROOT CANAL) 378
D3320 BICUSPID (EXCLD FINAL RESTORATION) (ROOT CANAL) 452
D3330 MOLAR (EXCLD FINAL RESTORATION) (ROOT CANAL) 588
D3331 TX ROOT CANAL OBSTRUC-NON-SURG ACCESS 127
D3332 INCOMPL ENDODONTIC THERAP-INOPER/FX TOOTH 294
D3333 INT ROOT REPR-PERFORATION DEFEC 108
D3346 RETX PREV ROOT CANAL THERAP-ANT 504
D3347 RETX PREV ROOT CANAL THERAP-BICUSPID 588
D3348 RETX PREV ROOT CANAL THERAP-MOLAR 714
D3351 APEXIFICATION/RECALCIFICATION-INIT VISIT 210
D3352 APEXIFICATION/RECALCIFICATN-INTERIM MEDS REPLAC 91
D3353 APEXIFICATION/RECALCIFICATION-FINAL VISIT 310
D3410 APICOECTOMY/PERIRADICULAR SURG-ANT 420
D3421 APICOECTOMY/PERIRADICULAR SURG-BICUSP (1ST ROOT) 473
D3425 APICOECTOMY/PERIRADICULAR SURG-MOLAR (1ST ROOT) 536
D3426 APICOECTOMY/PERIRADICULAR SURG (EA ADD ROOT) 173
D3430 RETROGRADE FILLING-PER ROOT 127
D3450 ROOT AMPUTAT-PER ROOT 257
D3920 HEMISECTION(INCLD ROOT REMOV)WO ROOT CANL THERAP 209
D4210 GINGIVECTOMY/GINGIVOPLASTY-PER QUADRANT 340
D4211 GINGIVECTOMY/GINGIVOPLASTY-PER TOOTH 126
D4240 GINGIVAL FLAP PROC INCL ROOT PLANING-PER QUAD 391
D4241 GINGIVAL FLAP PROCEDURE INCLUDING ROOT PLANING - 1-3 TEETH PER QUADRANT 232
D4245 APICALLY POSIT FLAP 275
D4249 CLIN CROWN LENGTHENING-HARD TISS 410
D4260 OSSEOUS SURG (INCL FLAP ENTRY & CLOS)-PER QUAD 620
D4261 OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE)-1-3 TEETH PER QUADRANT 381
D4263 BONE REPLAC GFT-FIRST SITE IN QUADRANT 189
D4264 BONE REPLAC GFT-EA ADD SITE IN QUADRANT 100
D4266 GUID TISS REGEN-RESORB BARRIER PER SITE 229
D4267 GUID TISS REGEN-NONRESORB BARRIER PER SITE 294
D4270 PEDICLE SOFT TISS GFT PROC 464
D4271 FREE SOFT TISS GFT PROC (INCL DONOR SITE SURG) 464
D4273 SUBEPITHELIAL CONNECTIVE TISS GFT (INCL DONOR) 515
D4274 DIST/PROX WEDGE PROC (NOT W/PROC IN SAME AREA) 147
D4275 SOFT TISSUE ALLOGRAFT 515
D4276 COMBINED CONNECTIVE TISSUE AND DOUBLE PEDICLE GRAFT 618
D4320 PROVISIONAL SPLINTING-INTRACORONAL 242
D4321 PROVISIONAL SPLINTING-EXTRACORONAL 215
D4341 PERIODONTAL SCALING & ROOT PLANING PER QUADRANT 126
D4342 PERIODONTAL SCALING AND ROOT PLANING - 1-3 TEETH PER QD 71
D4355 FULL MOUTH DEBRID-ENABLE PERIODONTAL EVAL & DX 75
D4381 LOCALIZ DELIV CHEMO-CREVICULAR TISS PER TOOTH BR 62
D4910 PERIODONTAL MAINT PROC (FOLLOWING ACTIVE THERAP) 75
D5110 COMPLT DENTURE-MAXIL 714
D5120 COMPLT DENTURE-MANDIB 714
D5130 IMMED DENTURE-MAXIL 767
D5140 IMMED DENTURE-MANDIB 767
D5211 MAXIL PART DENTURE-RESIN BASE(INCLD CLASP-RESTS) 599
D5212 MANDIB PART DENTURE-RESIN BASE(INCLD CLASP-REST) 683
D5213 MAXIL PART DENTURE-CAST METAL FRAME W/RESIN BASE 777
D5214 MANDIB PART DENTURE-CAST METAL FRAME W/RES BASE 777
D5225 MAX PART DENTURE - FLEXIBLE BASE 803
D5226 MAND PART DENTUR - FLEXIBLE BASE 803
D5281 REMOV UNILAT PART DENTURE-1 PIECE CAST METAL 460
D5410 ADJUST COMPLT DENTURE-MAXIL 39
D5411 ADJUST COMPLT DENTURE-MANDIB 39
D5421 ADJUST PART DENTURE-MAXIL 39
D5422 ADJUST PART DENTURE-MANDIB 39
D5510 REPR BROKEN COMPLT DENTURE BASE 78
D5520 REPLACE MISS/BRKN TEETH-COMPLT DENTURE(EA TOOTH) 65
D5610 REPR RESIN DENTURE BASE 85
D5620 REPR CAST FRAMEWORK 114
D5630 REPR/REPLACE BROKEN CLASP 111
D5640 REPLACE BROKEN TEETH-PER TOOTH 69
D5650 ADD TOOTH TO EXISTING PART DENTURE 95
D5660 ADD CLASP TO EXISTING PART DENTURE 117
D5670 REPLACE ALL TEETH AND ACRYLIC ON CAST METAL FRAMEWORK (MAXILLARY) 391
D5671 REPLACE ALL TEETH AND ACRYLIC ON CAST METAL FRAMEWORK (MANDIBULAR) 391
D5710 REBASE COMPLT MAXIL DENTURE 289
D5711 REBASE COMPLT MANDIB DENTURE 277
D5720 REBASE MAXIL PART DENTURE 274
D5721 REBASE MANDIB PART DENTURE 274
D5730 RELINE COMPLT MAXIL DENTURE (CHAIRSIDE) 163
D5731 RELINE COMPLT MANDIB DENTURE (CHAIRSIDE) 163
D5740 RELINE MAXIL PART DENTURE (CHAIRSIDE) 150
D5741 RELINE MANDIB PART DENTURE (CHAIRSIDE) 150
D5750 RELINE COMPLT MAXIL DENTURE (LAB) 215
D5751 RELINE COMPLT MANDIB DENTURE (LAB) 215
D5760 RELINE MAXIL PART DENTURE (LAB) 215
D5761 RELINE MANDIB PART DENTURE (LAB) 215
D5810 INTERIM COMPLT DENTURE (MAXIL) 345
D5811 INTERIM COMPLT DENTURE (MANDIB) 368
D5820 INTERIM PART DENTURE (MAXIL) 263
D5821 INTERIM PART DENTURE (MANDIB) 278
D5850 TISS CONDITIONING MAXIL 68
D5851 TISS CONDITIONING MANDIB 68
D5860 OVERDENTURE-COMPLT BR 686
D5861 OVERDENTURE-PART BR 676
D6010 SURG PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT 1617
D6058 ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN 979
D6059 ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN 979
D6060 ABUT SUPP PORCELAIN TO MTL CROWN PREDOM BASE MTL 906
D6061 ABUT SUPP PORCELAIN TO METAL CROWN NOBLE METAL 927
D6062 ABUTMENT SUPP CAST METAL CROWN HIGH NOBLE METAL 927
D6063 ABUTMENT SUPP CAST METAL CROWN PREDOM BASE METAL 793
D6064 ABUTMENT SUPP CAST METAL CROWN NOBLE METAL 845
D6065 IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN 958
D6066 IMPLANT SUPPORTED PORCELAIN FUSED TO METAL CROWN 937
D6067 IMPLANT SUPPORTED METAL CROWN 906
D6080 IMPL MAINT PROC REMV CLEANS PROSTH&ABUTS REINS 82
D6091 REPLACEMENT OF SEMI-PRECISION/PRECISION ATTACHMENT OF IMPLANT SUPPORT PROSTHESIS 65
D6092 RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN 61
D6093 RECEMENT IMPLANT/ABUTMENT SUPPORTED FIXED PARTIAL DENTURE 65
D6094 ABUTMENT SUPPORTED CROWN TITANIUM 762
D6205 PONTIC - INDIRECT RESIGN BASED COMPOSITE / NOT TEMPORARY 556
D6210 PONTIC-CAST HI NOBLE METAL 567
D6211 PONTIC-CAST PREDOMINANTLY BASE METAL 533
D6212 PONTIC-CAST NOBLE METAL 555
D6214 PONTIC - TITANIUM 573
D6240 PONTIC-PORCELAIN FUSED TO HI NOBLE METAL 562
D6241 PONTIC-PORCELAIN FUSED TO PREDOMINANTLY BASE MTL 519
D6242 PONTIC-PORCELAIN FUSED TO NOBLE METAL 546
D6245 PONTIC - PORCELAIN/CERAMIC 579
D6253 PROVISIONAL PONTIC 237
D6545 RETAINER-CAST METAL FOR RESIN BONDED FIX PROSTH 235
D6548 RETAINER - PORCELN/CERAMIC RSN BONDED FIX PROSTH 281
D6600 INLAY - PORCELAIN/CERAMIC 2 SURFACES 484
D6601 INLAY - PORCELAIN/CERAMIC 3 OR MORE SURFACES 515
D6602 INLAY - CAST HIGH NOBLE METAL 2 SURFACES 462
D6603 INLAY - CAST HIGH NOBLE METAL 3 OR MORE SURFACES 536
D6604 INLAY - CAST PREDOMINATELY BASE METAL 2 SURFACES 462
D6605 INLAY - CAST PREDOMINATELY BASE METAL 3 OR MORE SURF 515
D6606 INLAY - CAST NOBLE METAL 2 SURFACES 462
D6607 INLAY - CAST NOBLE METAL 3 OR MORE SURFACES 536
D6608 ONLAY - PORCELAIN/CERAMIC 2 SURFACES 504
D6609 ONLAY - PORCELAIN/CERAMIC 3 OR MORE SURFACES 532
D6610 ONLAY - CAST HIGH NOBLE METAL 2 SURFACES 525
D6611 ONLAY - CAST HIGH NOBLE METAL 3 OR MORE SURFACES 578
D6612 ONLAY - CAST PREDOMINATELY BASE METAL 2 SURFACES 525
D6613 ONLAY - CAST PREDOMINATELY BASE METAL 3 OR MORE SURF 546
D6614 ONLAY - CAST NOBLE METAL 2 SURFACES 525
D6615 ONLAY - CAST NOBLE METAL 3 OR MORE SURFACES 546
D6624 INLAY - TITANIUM 501
D6634 ONLAY - TITANIUM 526
D6710 CROWN - INDIRECT RESIN BASED COMPOSITE / NON-TEMPORARY 537
D6740 CROWN - PORCELAIN/CERAMIC 630
D6750 CROWN-PORCELAIN FUSED TO HI NOBLE METAL 620
D6751 CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METL 578
D6752 CROWN-PORCELAIN FUSED TO NOBLE METAL 599
D6780 CROWN-3/4 CAST HI NOBLE METAL 588
D6781 CROWN-3/4 CAST PREDOMINATELY BASED METAL 557
D6782 CROWN-3/4 CAST NOBLE METAL 557
D6783 CROWN-3/4 PORCELAIN/CERAMIC 620
D6790 CROWN-FULL CAST HI NOBLE METAL 599
D6791 CROWN-FULL CAST PREDOMINANTLY BASE METAL 578
D6792 CROWN-FULL CAST NOBLE METAL 588
D6793 PROVISIONAL RETAINER CROWN 222
D6794 CROWN - TITANIUM 608
D6930 RECEMENT FIX PART DENTURE 75
D6950 PRECISION ATTACHMENT 317
D6970 CAST POST & CORE IN ADD TO FIX PART DENT RETAINR 216
D6972 PREFAB POST & CORE-ADD TO FIX PART DENT RETAINER 163
D6973 CORE BUILD UP FOR RETAINER INCL ANY PINS 132
D6975 COPING-METAL 365
D6980 FIX PART DENTURE REPR BR 134
D6985 PEDIATRIC PARTIAL DENTURE FIXED 597
D7111 CORONAL REMNANTS - DECIDIOUS TEETH 51
D7140 EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) 71
D7210 REMOVE ERUPT TTH-W/MUCOPERIOSTL FLP-REMOV BNE/TTH 132
D7220 REMOVE IMPACTED TOOTH-SOFT TISS 162
D7230 REMOVE IMPACTED TOOTH-PART BONY 216
D7240 REMOVE IMPACTED TOOTH-COMPLT BONY 258
D7241 REMOVE IMPACTED TTH-COMPLT BONY W/UNUSUAL COMPLIC 324
D7250 SURG REMOV RESIDUAL TOOTH ROOTS (CUTTING PROC) 142
D7280 SURG EXPOSURE IMPACTED/UNERUPTED TTH-ORTHODONTIC 283
D7285 BX ORAL TISS-HARD (BONE/TOOTH) 520
D7286 BX ORAL TISS-SOFT (ALL OTH) 226
D7287 CYTOLOGY SAMPLE COLLECTION N 71
D7288 BRUSH BIOPSY - TRANSEPITHELIAL SAMPLE COLLECTION VIA ROTATIONAL BRUSHING OF ORAL MUSCOSA 67
D7310 ALVEOLOPLASTY W/EXTRACTIONS-PER QUADRANT 156
D7311 ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS 1-3 TEETH PER QUANDRANT DISTINCT FROM EXTRACTIONS 108
D7320 ALVEOLOPLASTY NOT W/EXTRACTIONS PER QUADRANT 252
D7321 ALVEOLOPLASTY NOT IN CONJUNCTION WITH EXTRACTIONS 1-3 TEETH PER QUANDRANT DISTINCT FROM EXTRACTIONS 192
D7471 REMOV EXOSTOSIS-PER SITE 504
D7510 I&D ABSC-INTRAORAL SOFT TISS 85
D7511 INCISION AND DRAINAGE OF ABSCESS - INTRAORAL SOFT TISSUE COMPLICATION CELLULITIUS 162
D7880 OCCLU ORTHOTIC DEVICE BR 389
D7960 FRENULECTOMY (FRENECTOMY/FRENOTOMY)-SEPART PROC 299
D7963 FRENULECT - EXCISION OF FRENUM WITH ACCOMPANYING EXCISION OR REPOSITIONING 331
D7970 EXC HYPERPLASTIC TISS-PER ARCH 313
D7972 SURGICAL REDUCTION OF FIBROUS TUBEROSITY 239
D8010 LTD ORTHODONTIC TX PRIM DENTITION 499
D8020 LTD ORTHODONTIC TX TRANSITIONAL DENTITION 499
D8030 LTD ORTHODONTIC TX ADOLESCENT DENTITION 499
D8040 LTD ORTHODONTIC TX ADULT DENTITION 499
D8050 INTERCEPTIVE ORTHODONTIC TX PRIM DENTITION 2132
D8060 INTERCEPTIVE ORTHODONTIC TX TRANSITIONAL DENTITN 2132
D8070 COMP ORTHODONTIC TX TRANSITIONAL DENTITION 4264
D8080 COMP ORTHODONTIC TX ADOLESCENT DENTITION 4264
D8090 COMP ORTHODONTIC TX ADULT DENTITION 4264
D8210 REMOV APPLIANCE THERAP 406
D8220 FIX APPLIANCE THERAP 406
D8680 ORTHODONTIC RETENTION(REMOV APPL-PLCMT RETAINER) 286
D8691 REPR ORTHODONTIC APPLIANCE 68
D9110 PALLIATIVE (ER) TX DENTAL PAIN-MINOR PROC 47
D9120 FIXED PARTIAL DENTURE SECTIONING 54
D9215 LOCAL ANES 16
D9220 GEN ANES-FIRST 30 MIN 210
D9221 GEN ANES-EA ADD 15 MINUTES 88
D9230 ANALGESIA-ANXIOLYSIS-INHAL NITROUS OXIDE 28
D9241 IV SEDATION/ANALGESIA-FIRST 30 MIN 163
D9242 IV SEDATION/ANALGESIA-EA ADD 15 MIN 68
D9310 CONS (DIAG SERV BY NON TREATING PRACTIONER) 96
D9410 HOUSE/EXTEN CARE FACILITY CALL 120
D9420 HOSP CALL 162
D9430 OFFIC VISIT FOR OBSRV (REG HRS)-NO OTH SERV) 36
D9440 OFFIC VISIT-AFTER REG SCHEDULED HRS 66
D9610 THERAP DRUG INJ BR 31
D9612 THERAPEUTIC PARENTERAL DRUGS; TWO OR MORE ADMINISTRATIONS DIF. MEDICATIONS 46
D9940 OCCLU GUARD BR 361
D9942 REPAIR AND/OR RELINE OF OCCLUSAL GUARD 98
D9951 OCCLU ADJUSTMENT-LTD 66
D9952 OCCLU ADJUSTMENT-COMPLT 372
D9970 ENAMEL MICROABRASION 56
D9971 ODONTOPLASTY 1 - 2 TEETH 74
D9972 EXTERNAL BLEACHING - PER ARCH 350
D9973 EXTERNAL BLEACHING - PER TOOTH 56
D9974 INTERNAL BLEACHING - PER TOOTH 274


fees may vary by region/provider/specialty, above fees for zip code 44124